CARE: (CHAPTER 28) EXAM
QUESTIONS AND THEIR VERIFIED
CORRECT ANSWERS
Thermoregulation is not well developed in infants. As
a result, babies are at risk for hypothermia. Kangaroo
care is an effective way to prevent hypothermia in the
infant. In this method, an unclothed, diapered infant is
placed on the mother's bare chest. This provides
physiological warmth to the infant. It is not advisable
to give hot milk or hot water to the infant because it
can damage their tissues. An unclothed infant must
not be kept in the sun for a long time because the
sun's ultraviolet rays can cause skin damage. There is
no difference in calories between breast milk and
formula.
Test-Taking Tip: Avoid selecting answers that state
hospital rules or regulations as a reason or rationale
for action.
Which intervention should the nurse incorporate to prevent
hypothermia in an infant?
1
Give hot milk or hot water to the infant at regular intervals.
2
Place the unclothed, diapered infant in the sun for few
,hours.
3
Feed the infant formula, which is higher in calories.
4
Put the unclothed, diapered infant on the mother's bare
chest
3
Thermoregulation is one of the most important
adaptations for an infant to develop. A hypothermic
infant tends to develop conditions such as
hypoglycemia and metabolic acidosis. Skin-to-skin
contact, or kangaroo care, is beneficial in maintaining
the infant's temperature. Sleep irregularities may
develop when an infant is suffering from pain
internally or externally, which would also affect the
growth and development at early postnatal
development. Metabolic rates are usually high in
children. Neurological maturation, or a dramatic
increase in the number of neurons, occurs when the
infant is in the embryonic stage and the neonatal
state.
An infant's blood glucose levels are low, and the nurse
instructs the mother to perform kangaroo care. Which
condition would the nurse have assessed in the child?
1
Irregular sleep patterns
2
Reduced metabolism
3
Improper thermoregulation
, 4
Impaired maturation
2
A toddler is developing autonomy and is able to start
making some choices about what he or she can wear.
A toddler is developing autonomy and focusing on
doing things for himself or herself and therefore
would not want the mother to feed him or her. The
child is at the stage of autonomy versus shame and
doubt, as defined by Erikson. At this age, the mother
should provide opportunities for the child to be active
and learn by experience and imitation. Providing toys
the child can control will help achieve this stage. A
toddler might easily become overstimulated by
images from TV and loud sounds. Toddlers are more
interested in manipulating and learning from objects
in the environment.
A nurse is examining a toddler and is discussing with the
mother psychosocial development according to Erikson's
theories. Based on the nurse's knowledge of Erikson, the
most age-appropriate activity to suggest to the mother at
this stage is to:
1
feed lunch.
2
allow the toddler to start making choices about what to
wear.
3
allow the toddler to pull a talking-duck toy.